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Individual

DR. KATHLEEN ANNE TALLENT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PH.D

Contact information

Practice address
65 DUKE ST STE 106, PRINCE FREDERICK, MD 20678-6128
(443) 295-8955
(888) 883-1589
Mailing address
35 DUKE ST UNIT 763, PRINCE FREDERICK, MD 20678-7528
(443) 295-8955
(888) 883-1589

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
04363
MD
103T00000X
Psychologist
0810008845
WV
103T00000X
Psychologist
100183
IA
103T00000X
Psychologist
Primary
TPPY3204
FL
103TC0700X
Clinical Psychologist
0810008845
VA

Other

Enumeration date
03/05/2008
Last updated
03/04/2026
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